MICHIGAN INSTITUTE OF UROLOGY PC


Address: 130 Town Center Dr, Suite 200, Troy, MI 48084-1744
Phone: 2487860464

MICHIGAN INSTITUTE OF UROLOGY PC (NPI# 1962674499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962674499
Entity Type Organization
Organization Name MICHIGAN INSTITUTE OF UROLOGY PC
Practice Address 130 Town Center Dr
Suite 200
Troy
MI 48084-1744
Mailing Address 20952 E 12 Mile Rd
Suite 200
Saint Clair Shores
MI 48081-3200
Practice Telephone 2487860464
Practice Fax Number 2487860674
Mailing Telephone 5867714820
Mailing Fax Number 5867716620
Enumeration Date 2008-03-25
Last Update Date 2011-03-08
Authorized Official Name ALPHONSE M SANTINO (PRESIDENT)
Authorized Official Telephone 5867714820
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name MICHIGAN INSTITUTE OF UROLOGY PC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208800000X Urology Allopathic & Osteopathic Physicians
N 2088P0231X Urology
Specialization: Pediatric Urology
Allopathic & Osteopathic Physicians
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 332B00000X Durable Medical Equipment & Medical Supplies 4301090214 MI Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBSM 340E062730 01
MI RAILROAD MEDICARE CB9133 01
MI BCBSM DME 540E016120 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194807693 Michigan Institute of Urology PC Urology 6900 Orchard Lake Road, Suite 101, West Bloomfield, MI 48322-3424 2006-10-20
1427027416 Michigan Institute of Urology PC Pathology 20952 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3203 2006-03-14
1730393927 Michigan Institute of Urology PC Durable Medical Equipment & Medical Supplies 20952 12 Mile Road, 200, Saint Clair Shores, MI 48081-3203 2007-05-09
1801018338 Michigan Institute of Urology PC Nurse Practitioner 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3200 2007-05-03
1801978309 Michigan Institute of Urology PC Urology 2300 Haggerty Road, Suite 2000, West Bloomfield, MI 48323-2102 2006-10-20
1295817799 Michigan Institute of Urology PC Urology 130 Town Center Drive, Suite 101, Troy, MI 48084-1773 2006-10-20
1881776383 Michigan Institute of Urology PC Urology 44200 Woodward, Suite 207, Pontiac, MI 48341 2006-10-20
1871673962 Michigan Institute of Urology PC Urology 18100 Oakwood Blvd, Suite 315, Dearborn, MI 48124-4085 2006-10-16
1326138033 Michigan Institute of Urology PC Urology 11051 Hall Rd, Suite 200, Utica, MI 48317-5735 2006-10-13
1275623068 Michigan Institute of Urology PC Urology 5701 Bow Pointe Dr, Suite 250, Clarkston, MI 48346-3163 2006-10-13

Office Location

Street Address 130 TOWN CENTER DR
SUITE 200
City TROY
State MI
Zip Code 48084-1744

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831159078 Bradley Todd Miller Obstetrics & Gynecology 130 Town Center Dr, Suite 106, Troy, MI 48084-1744 2006-03-23
1740726033 Anthony Dicicco Nurse Anesthetist, Certified Registered 130 Town Center Dr, Suite 203, Troy, MI 48084-1744 2017-01-11
1548640709 Emily O'rourke Physician Assistant 130 Town Center Dr, Suite 203, Troy, MI 48084-1744 2015-06-03
1033466933 Town Center Asc LLC Clinic/Center 130 Town Center Dr, Suite 130, Troy, MI 48084-1744 2012-08-09
1093037756 Amie E Sweet Physician Assistant 130 Town Center Dr, 203, Troy, MI 48084-1744 2010-02-23
1174854046 Acure Home Care Inc. Home Health 130 Town Center Dr, Suite 207, Troy, MI 48084-1744 2010-01-16
1669616785 Ambik Inc Pharmacy 130 Town Center Dr, Troy, MI 48084-1744 2009-04-21
1841477023 Rodney Richard Corby Radiology 130 Town Center Dr, Suite 203, Troy, MI 48084-1744 2008-01-30
1326236597 Pamela Merita Jones Nurse Practitioner 130 Town Center Dr, Suite 101, Troy, MI 48084-1744 2007-10-12
1972689453 Reproductive Medicine Assoc. Obstetrics & Gynecology 130 Town Center Dr, Suite 106, Troy, MI 48084-1744 2006-10-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497360242 Keely Erin Zuri Physical Therapy Assistant 3250 W. Big Beaver, Troy, MI 48084 2020-09-09
1841762473 Hunter Thomas Michaels Kinesiotherapist 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 2018-12-20
1265900864 Michelle Denise Carter Massage Therapist 3250 West Big Beaver Suite 228, Troy, MI 48084 2018-11-13
1770083925 Troy Daniel Burrell Clinical Exercise Physiologist 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 2018-02-14
1174030175 Alexander Scott Kinesiotherapist 3250 W. Big Beaver Rd., Troy, MI 48084 2017-12-29
1568977213 Mallory Rose Valeri Specialist/Technologist 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 2017-12-04
1710409651 Eduardo Martin Pinto Pharmacist 3811 Coolidge Hwy, Troy, MI 48084 2017-07-12
1659891653 Tricia Michelle Forgash Recreation Therapist 1998 Dorchester Dr. N 106, Troy, MI 48084 2017-06-21
1851759278 Lauren Field Counselor 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 2016-01-30
1265806939 Tammy Scott-barney Nurse Practitioner 888 W Big Beaver Rd Ste 900, Troy, MI 48084 2015-11-18
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649871161 Martor Case Management LLC Durable Medical Equipment & Medical Supplies 400 Jordan Rd, Troy, NY 12180-8378 2020-11-02
1124668462 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 2431 6th Ave Ste P, Troy, NY 12180-2227 2020-01-15
1720647449 Medexa, LLC Durable Medical Equipment & Medical Supplies 4893 Rochester Rd Ste 100, Troy, MI 48085-4971 2019-06-06
1093370975 Symed, Inc. Durable Medical Equipment & Medical Supplies 2820 W Maple Rd Ste 245, Troy, MI 48084-7065 2019-05-06
1033622733 Paradygm Health Group Durable Medical Equipment & Medical Supplies 550 Stephenson Hwy Ste 450, Troy, MI 48083-1140 2017-11-16
1073037875 Walgreen Co Durable Medical Equipment & Medical Supplies 75 Vandenburgh Ave Ste 8, Troy, NY 12180-6039 2017-08-02
1699298307 Anderson Medical Supplies, Inc Durable Medical Equipment & Medical Supplies 4893 Rochester Rd Ste A, Troy, MI 48085-4971 2017-07-25
1760918882 Aeroflow, Inc Durable Medical Equipment & Medical Supplies 2888 E Long Lake Rd Ste 126, Troy, MI 48085-3793 2017-05-10
1770034449 Nexus LLC Durable Medical Equipment & Medical Supplies 1352 Combermere Dr Ste A, Troy, MI 48083-4803 2016-10-18
1801346283 Publix Alabama LLC Durable Medical Equipment & Medical Supplies 1147 Us Hwy 231 South, Troy, AL 36081 2016-10-10
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Competitor

Search similar providers

City TROY
Zip Code 48084

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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